BRES2015-005778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2015-0057
Property Address: 50220 VIA PUENTE
APN: 776290001
Application Description: RIVIERA/REPLACE INSULATION & DRYWALL AS NEEDED/FLOOD DAMAGE
Property Zoning:
Application Valuation: $4,500.00
Applicant:
DESERT VALLEY RESTORATION INC
77833 PALAPAS ROAD
PALM DESERT, CA 92211
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 677877
Date: Z O ` Contractor: Wt. Q,,A-
9
OWNER-BUILDER DECLARATIO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/19/2015
Owner:
EDDIE RIVEIRA
7821 MALTBY RD
SNOHOMISH, WA 92253
Contractor:
DESERT VALLEY RESTORATION INC
77833 PALAPAS ROAD
PALM DESERT, CA 92211
(760)360-1855
Llc. No.: 677877
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of th r for which this permit is issued.
�ve and will maintain workers' compensation insurance, as required by
Section 3 0 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number:
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. c
Date: Applicant: LW Jd Ad
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO ERAGE IS LAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request, and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes. <
Date: Signature (Applicant or Agent):/
FINANCIAL INFORMATION
Description: RIVIERA/REPLACE INSULATION & DRYWALL AS NEEDED/FLOOD DAMAGE
Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW
Applied: 2/18/2015 SKH
Approved:
Parcel No: 776290001 Site Address: 50220 VIA PUENTE LA QUINTA,CA 92253
Subdivision: TR 29858-1 Block: Lot: 11
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
COMPLETION DATE
Details: REPLACE INSULATION AND DRY WALL DUE TO FLOOD DAMAGE. ESPDXY AND SCREW SPLIT SILL PLATES AS NEEDED (SPECIAL
INSPECTOR REQUIRED). 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Thursday, February 19, 2015 11:28:23 AM 1 of 2 CR
SY.C7FM.S
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
PLAN CHECK SUBMITTAL STEPHANIE KHATAMI
2/18/2015
2/18/2015
RECEIVED
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP
PHONE FAX EMAIL
APPLICANT
DESERT VALLEY RESTORATION INC
77833 PALAPAS ROAD
PALM DESERT CA
92211
(425)260-7169
CONTRACTOR
DESERT VALLEY RESTORATION INC
77833 PALAPAS ROAD
PALM DESERT CA
92211
(425)260-7169 .
OWNER
EDDIE RIVEIRA
7821 MALTBY RD
SNOHOMISH WA
92253
(425)260-7169
FINANCIAL INFORMATION
Printed: Thursday, February 19, 2015 11:28:23 AM 1 of 2 CR
SY.C7FM.S
SEQID INSPECTION TYPE INSPECTOR DATE DATE RESULT REMARKS NOTES
FINAL**
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday; February 19, 2015 11:28:23 AM 2 of 2 C§? Y.STFMs
Bin ff City of La Quinta
Building si: Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Prgjoet Address: S o -2Z o �/► a >0 2 V -t Owner's Name:
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Contractor: To��, �m-V
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Telephone: �2S 2tPo. ►iv t 3;a '� s
Address: '(K -Qj-j3 p�`�
as, QU0.
Project Description:
City, ST, Zip: P,6- cR•
Telephone: -7(00- 3 60- l$5S
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CLC,
State Lie. #: (p 572
City Lie. N; � 3
Arch., Lngr., Designer:
51 1) f LD -j 4-- D
Address:
City, ST, Zip:
Telephone:
P
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Construction Type: Occupancy:
State Lie. #:
Project type (circle one): Now Add'n Alter epai Demo
Name of Contact Person: �/I 4
Vq
S S. Ft.: Gi�O
3
Stories: /
i) Units: /
Telephone #•of Contact Person: 0-
5
)stimatcd Value of Project: p'`"
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl Submittal Req'd Rcc'd TRACKING PERMIT FUSS
Plan Scts
Plan Clicck submitted
Item
Amount.
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
TrussCalCS.
Called Contact Person
flan Chcck Balance
17t1c 24 Calu.Plans
picked up
Construction
Flood plain plan
flans resubmitted
Mechanical
Grading plan
21' Review, ready for corrections/issue
Electrical
Subeontactor Ust
Called Contac( Person
Plumbing
Grant Decd
flans liickcd up
S.iif:I.
M.O.A. Approval
flans resubmitted
Grading
IN HOUSE:-
sri Rcyiav, ready for corrcclions/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School FCC$
Total Pcrmit Fees
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